Journal of Multidisciplinary Healthcare最新文献

{"title":"Summary of Best Evidence for the Dietary Management in Patients with High-Output Ileostomy.","authors":"Ying Wang, Hua Peng, Cui Cui, Qi Zou, Mudi Yang","doi":"10.2147/JMDH.S506561","DOIUrl":"10.2147/JMDH.S506561","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to systematically search, screen, evaluate, and summarize the best evidence related to the dietary management of patients with high-output ileostomy, providing an evidence-based reference for the dietary management tailored to this specific demographic.</p><p><strong>Methods: </strong>A comprehensive search was conducted across multiple databases, including BMJ best practice, Up to Date, Guidelines International Network, Medlive, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses Association of Ontario, JBI, Cochrane Library, PubMed, CNKI, Wanfang, and VIP databases. Additional searches included websites of professional organizations such as the European Society for Clinical Nutrition and Metabolism, Chinese Society for Parenteral and Enteral Nutrition, American Society for Parenteral and Enteral Nutrition, World Council of Enterostomal Therapists, United Ostomy Associations of America, and International Ostomy Association. Two researchers independently evaluated the quality of the included literature and extracted and summarized the evidence.</p><p><strong>Results: </strong>Eighteen articles were included: 2 clinical decision documents, 5 guidelines, 3 expert consensus statements, 6 expert opinions, and 2 evidence summaries. Thirty pieces of evidence were synthesized, covering nutritional risk screening, dietary guidance, dietary behavior guidance, health education, and follow-up care.</p><p><strong>Conclusion: </strong>The summarized best evidence is scientific and comprehensive, offering an evidence-based guide for healthcare professionals managing the dietary needs of patients with high-output ileostomy.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"877-888"},"PeriodicalIF":2.7,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Caregiver Burden in Severe Pediatric Asthma - A Qualitative Study.","authors":"Ping Wu, Jiahui Zhang, Yijing Hu","doi":"10.2147/JMDH.S505739","DOIUrl":"10.2147/JMDH.S505739","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify the emotional and practical burden on primary caregivers of children with severe asthma and identify the support needs of those caring for individuals with severe asthma.</p><p><strong>Methods: </strong>A phenomenological research approach in qualitative research was used. Semi-structured interviews with caregivers of children with asthma waiting in the outpatient clinic of Shanghai Children's Hospital were conducted from January to August 2024 through purposive sampling. The researcher transcribed audio-recorded interview data verbatim into text and thematically analyzed the data using the Colaizzi 7-step analysis method and then obtained the final results.</p><p><strong>Results: </strong>There were a total of 12 participants. Through these 12 in-depth one-on-one interviews, all necessary study data were obtained. The study identified the following four main burdens for caregivers of children with severe asthma: 1) Multiple barriers to the care-giving process. (Incomplete knowledge of disease management; lack of competence in care as well as poor child compliance making care more difficult; lack of support for asthma in schools). 2) Excessive consumption of time and energy. (Disturbed sleep rhythms and lack of physical energy). 3) Family dysfunction. (Conflicts among family members; disruption of normal life; increased financial burden). 4) Negative emotions. (fear; nervousness, worry).</p><p><strong>Conclusion: </strong>This study focuses on caregivers of children with severe asthma who face multiple stressors. Caregivers are critical to disease management: healthcare professionals and the community should provide support; family members should share tasks; and children's poor self-management skills place a burden on caregivers, and professionals should teach children to better care for themselves. These findings have important implications for healthcare providers to develop targeted support programs and improve overall care for children with severe asthma.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"865-876"},"PeriodicalIF":2.7,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a Hospital Pharmacist Workforce by a Diversified and Position-Oriented Learning System [Letter].","authors":"Erna Fauziah","doi":"10.2147/JMDH.S521264","DOIUrl":"10.2147/JMDH.S521264","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"863-864"},"PeriodicalIF":2.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study of the Experience of Multidisciplinary Teamwork in Chronic Critical Illness Patients.","authors":"Xiulu Xu, Mengjuan Jing, Yuxin Zhu, Hanghang Jin, Liming Li","doi":"10.2147/JMDH.S505022","DOIUrl":"10.2147/JMDH.S505022","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the reasons for poor multidisciplinary team (MDT) cooperation of Chronic Critical Illness (CCI) patients and their needs and expectations for carrying out MDT cooperation, with a view to providing references for improving MDT cooperation of CCI patients.</p><p><strong>Methods: </strong>Semi-structured interviews with 15 members of the MDT of CCI patients in a hospital of Henan Province were conducted in September and October of 2024 using a descriptive qualitative design. The data were analyzed using the thematic analysis method developed by Braun and Clarke.</p><p><strong>Results: </strong>Three themes emerged: Theme 1: The collaborative experience of MDT members, with three sub-themes: essential MDT cooperation, absence of specialized MDT, and the nurse's diminished role; Theme 2: Barriers to MDT cooperation, with three sub-themes: unclear cooperation process and job responsibilities, lack of effective communication, and insufficient observation and feedback; Theme 3: Facilitators to MDT cooperation, divided into three sub-themes: timely and effective communication, a leading role, well-developed MDT tools.</p><p><strong>Conclusion: </strong>Due to the following deficiencies: unclear cooperation process and job responsibilities, lack of effective communication, and insufficient observation and feedback, it is urgent to take appropriate measures to promote MDT cooperation for CCI patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"827-836"},"PeriodicalIF":2.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Reasons Why Patients Do Not Return to Sport Post ACL Reconstruction: A Cross-Sectional Study\" [Letter].","authors":"Riya Kalra, Etika Rana, Sudhamoy Maity","doi":"10.2147/JMDH.S520066","DOIUrl":"10.2147/JMDH.S520066","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"861-862"},"PeriodicalIF":2.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Hotspots and Frontier Trends of Autophagy in Diabetic Cardiomyopathy From 2014 to 2024: A Bibliometric Analysis.","authors":"Mei Yan, Shizhao Zhang, Pengpeng Liang, Hai Huang, Guiyun Li, Ruhan A, Hongyan Wu","doi":"10.2147/JMDH.S507217","DOIUrl":"10.2147/JMDH.S507217","url":null,"abstract":"<p><strong>Objective: </strong>In recent years, the investigation of autophagy mechanisms has gained prominence as a key focus for understanding the pathogenesis and therapeutic potential of diabetic cardiomyopathy. This study aims to present an overview of the current state, major research areas, and emerging trends in autophagy related to diabetic cardiomyopathy through bibliometric analysis, offering a scientific foundation for future research.</p><p><strong>Methods: </strong>The Web of Science Core Collection served as the data source for this study, from which full-text publications were extracted. Using CiteSpace 6.3.R1, VOSviewer v1.6.18, and R-Bibliometrix, the analysis evaluated research output across dimensions such as subjects, countries, institutions, journals, authors, and co-cited references, generating a comprehensive visual map.</p><p><strong>Results: </strong>A total of 367 publications met the inclusion criteria. Between 2014 and 2024, the volume of articles demonstrated a consistent upward trajectory. Research on autophagy in diabetic cardiomyopathy predominantly spans the disciplines of biology and medicine. China and the Fourth Military Medical University emerged as leading contributors among 41 countries and 505 institutions. Sun Dongdong was identified as the most prolific author, while Jia GH was the most frequently cited. Key journals in this field include Biochimica et Biophysica Acta - Molecular Basis of Disease and Frontiers in Cardiovascular Medicine, while Circulation Research recorded the highest number of co-citations. The most cited reference was an experimental study by Xie ZL. Current research focuses on autophagy, diabetic cardiomyopathy, oxidative stress, and their underlying mechanisms.</p><p><strong>Conclusion: </strong>Research on the role of autophagy in diabetic cardiomyopathy has reached a stable phase of development. Future investigations should prioritize mechanistic studies and emphasize the clinical application of novel pharmacological interventions, thereby advancing therapeutic strategies and contributing to improved human health outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"837-860"},"PeriodicalIF":2.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysbiosis and Metabolic Dysregulation of Salivary Microbiota in Schizophrenia.","authors":"Jie Wang, Lin Lu, Le Ren, Rui Zhu, Yao Jiang, Yanan Qiao, Yongming Li","doi":"10.2147/JMDH.S504325","DOIUrl":"10.2147/JMDH.S504325","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia (SZ) is a chronic, severe mental disorder that presents significant challenges to diagnosis and effective treatment. Emerging evidence suggests that gut microbiota may play a role in the disease's pathogenesis. However, fewer studies have directly investigated the potential links between oral microbiota and SZ.</p><p><strong>Purpose: </strong>This study aimed to explore the relationship between salivary microbiota dysbiosis and SZ, examining microbial and metabolic alterations that may contribute to SZ pathophysiology.</p><p><strong>Methods: </strong>Salivary samples from 30 hospitalized patients diagnosed with SZ and 10 healthy controls were collected. The microbial and metabolic profiles were analyzed using 16S rRNA gene sequencing and metabolomic profiling. Clinical parameters, including oral health status, were also evaluated to minimize variability in sampling.</p><p><strong>Results: </strong>Patients with SZ exhibited significantly poorer oral health compared to healthy controls, with more missing teeth and worse periodontal status. Microbiota sequencing revealed notable alterations in the overall structure and composition of the salivary microbiome in SZ patients, characterized by increased abundance of specific genera such as <i>Neisseria</i> and <i>Porphyromonas</i>. Metabolomic analysis indicated significant differences between the SZ and control groups, with upregulation of key metabolic pathways, including \"β-alanine metabolism\" and \"vitamin digestion and absorption\". Correlations between microbial dysbiosis and elevated levels of certain metabolites, such as L-methionine sulfoxide (L-MetO) and tyramine, were observed, suggesting links to oxidative stress.</p><p><strong>Conclusion: </strong>The study highlights the presence of significant dysbiosis and metabolic dysfunction in the salivary microbiota of SZ patients, suggesting that alterations in the oral microbiome may contribute to SZ pathogenesis. These results provide new insights into potential diagnostic biomarkers and therapeutic targets for SZ. Further studies with larger sample sizes are required to validate these findings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"813-825"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Models of Integrated Acute Care for Older Adult Inpatients That Incorporate Integrative Health: An Integrative Review.","authors":"Eric Bonvin, Elodie Perruchoud, Nadine Tacchini-Jacquier, Jean Perrenoud, Pauline Melly, Sacha Celik, Michèle Jean, Henk Verloo","doi":"10.2147/JMDH.S505404","DOIUrl":"10.2147/JMDH.S505404","url":null,"abstract":"<p><strong>Background: </strong>The use of integrated acute care for older adult inpatients is a growing field, especially the use of integrative health-care practices for managing complex, chronic, age-related health conditions. Scientific evidence suggests that these practices should be incorporated into older adult inpatients' daily care.</p><p><strong>Aim: </strong>Conduct an integrative review of studies on integrated acute-care models for older adult inpatients that incorporate integrative health services.</p><p><strong>Methods: </strong>We searched Medline Ovid ALL, Embase.com, CINAHL, APA PsycINFO Ovid, Web of Science Core Collection, ProQuest Dissertations & Theses A&I, Cochrane Library, and CAMBase bibliographic databases for studies, published between 1990 and 2023, on integrated acute-care models for older adult inpatients that incorporated integrative health services. The search associated the domains of acute care, geriatrics, internal medicine, rehabilitation, hospitalization, geriatric psychiatry, integrated/integrative care, care models, practices and coordination, interprofessionalism and multidisciplinarity, collaborative practices, and complementary therapies. The review was completed in June 2024.</p><p><strong>Results: </strong>We retained 32 studies conducted in North America, Europe, Australia, and Asia, including 46,899 older adult inpatients, 39 physicians, 148 nurses, 695 allied health-care professionals, and 358 informal caregivers. Three integrated acute care models were identified: the Acute Care for Elders model, the Integrated General Hospital model, and the Transitional Care model. Three integrated acute psychogeriatric-care models were identified: the Admiral Nursing model, the Lewy body dementia Admiral nursing service model, and the Care for Acute Mentally Infirm Elders model. A single, hybrid, Integrated, People-Centred Health Services model for acute and community health care was identified. We found the Scaling Integrated Care in Context model for measuring integrated care development within health-care systems.</p><p><strong>Conclusion: </strong>Few studies have investigated integrated acute-care models incorporating integrative health services for older adult inpatients. Existing acute-care models including integrative medicine should be explored further, and new, more inclusive models should be developed.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"759-786"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Cluster Nursing Based on Multidisciplinary Management Strategy on Perioperative Venous Thromboembolism in Patients with Gastrointestinal Cancers.","authors":"Linmin Zhuge, Xinxin Chen, Xinyi Li, Zhoule Zhu","doi":"10.2147/JMDH.S487697","DOIUrl":"10.2147/JMDH.S487697","url":null,"abstract":"<p><strong>Objective: </strong>To observe the effect of cluster nursing based on multidisciplinary management strategy in perioperative venous thromboembolism (VTE) prevention and control in gastrointestinal cancer patients.</p><p><strong>Methods: </strong>A total of 263 gastrointestinal cancer patients admitted to our hospital between January 2022 and September 2023 were included in the study. The patients were stratified into a control group (n=118) and a quality improvement group (n=145). Routine nursing care was administered to the control group, while the quality improvement group received cluster nursing based on multidisciplinary management strategy.</p><p><strong>Results: </strong>The total incidence of VTE in the quality improvement group (11.7%) was significantly lower compared to the control group (26.3%). The correct rate of VTE assessment by nurses in the quality improvement group stood at 80.0%, significantly surpassing the control group rate of 61.0% (p < 0.001). The timeliness rates of VTE assessment within 24 hours of admission, before, and after surgery were 91.7%, 95.2%, and 95.9%, respectively, in the quality improvement group, as opposed to 89.8%, 86.4%, and 87.3% in the control group, indicating a significant improvement in timeliness rates before and after surgery (all p < 0.05). The quality improvement group demonstrated a significant increase in both the implementation rate of health education and VTE preventive measures (all p < 0.05).</p><p><strong>Conclusion: </strong>Cluster nursing based on multidisciplinary management strategy has the potential to significantly decrease the incidence of perioperative VTE in patients with gastrointestinal cancer and improve awareness of VTE prevention and treatment among both medical professionals and patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"801-811"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Use of Generative Adversarial Networks-Based Deep Learning for Reducing Motion Artifacts in Cardiac Magnetic Resonance.","authors":"Ze-Peng Ma, Yue-Ming Zhu, Xiao-Dan Zhang, Yong-Xia Zhao, Wei Zheng, Shuang-Rui Yuan, Gao-Yang Li, Tian-Le Zhang","doi":"10.2147/JMDH.S492163","DOIUrl":"10.2147/JMDH.S492163","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of deep learning technology based on generative adversarial networks (GANs) in reducing motion artifacts in cardiac magnetic resonance (CMR) cine sequences.</p><p><strong>Methods: </strong>The training and testing datasets consisted of 2000 and 200 pairs of clear and blurry images, respectively, acquired through simulated motion artifacts in CMR cine sequences. These datasets were used to establish and train a deep learning GAN model. To assess the efficacy of the deep learning network in mitigating motion artifacts, 100 images with simulated motion artifacts and 37 images with real-world motion artifacts encountered in clinical practice were selected. Image quality pre- and post-optimization was assessed using metrics including Peak Signal-to-Noise Ratio (PSNR), Structural Similarity Index (SSIM), Leningrad Focus Measure, and a 5-point Likert scale.</p><p><strong>Results: </strong>After GAN optimization, notable improvements were observed in the PSNR, SSIM, and focus measure metrics for the 100 images with simulated artifacts. These metrics increased from initial values of 23.85±2.85, 0.71±0.08, and 4.56±0.67, respectively, to 27.91±1.74, 0.83±0.05, and 7.74±0.39 post-optimization. Additionally, the subjective assessment scores significantly improved from 2.44±1.08 to 4.44±0.66 (P<0.001). For the 37 images with real-world artifacts, the Tenengrad Focus Measure showed a significant enhancement, rising from 6.06±0.91 to 10.13±0.48 after artifact removal. Subjective ratings also increased from 3.03±0.73 to 3.73±0.87 (P<0.001).</p><p><strong>Conclusion: </strong>GAN-based deep learning technology effectively reduces motion artifacts present in CMR cine images, demonstrating significant potential for clinical application in optimizing CMR motion artifact management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"787-799"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}